there is environment out there because of the amount of tests, the amount of litigation, the amount of information we can do as far as research on the internet as well. >> exactly. jenna: those are all components. where do you think, where do you think the overdoing it comes from, is it from the patients or doctors you think? >> i think it is from the doctors trying to protect themselves and their patients both from the patients getting disease and from the doctors themselves being sued. i think, it, the blame has to lie in actually both areas, it really does. hard to put it on one side. jenna: you're right, that is a difficult question. on the other side of the coin is there a test patients often don't ask for and doctors don't give that might be something we don't know about? >> sometimes the test of time. that is what we use as physicians. we want to see you in 48 hours, reexamine you, maybe have contact after the first encounter to see if you're progressing toward improvement or worsening. >> test of time. >> test of time. jenna: very clever, dr. paty. maybe it is beneficial for bo